Everything you want to know
before you start.

We specialize in hormonal health and functional medicine for women and men. This includes perimenopause and menopause management, BHRT (bioidentical hormone replacement therapy), thyroid disorders (including Hashimoto's), PCOS, gut health and microbiome dysfunction, metabolic health (insulin resistance, pre-diabetes, fatty liver), adrenal and HPA axis dysfunction, autoimmune conditions, chronic fatigue, brain fog, and longevity medicine including peptide therapy for eligible patients.

Synergy is a direct-pay (cash-pay) practice — we do not bill insurance for programs, visits, or specialty labs. This model allows us to spend the time your care actually needs, order the tests that make clinical sense for your body, and recommend what's genuinely best rather than what an insurance company will approve. Standard blood work can often be drawn through Labcorp and billed to your insurance. We accept HSA and FSA cards for all services, and superbills are available for potential out-of-network reimbursement — check with your insurer.

Our office is located in Hampden, Maine. Many of our services — including strategy calls, review of findings visits, program follow-ups, and coaching sessions — are available via telehealth for patients across Maine. Lab draws can be completed at our office or at a local Labcorp partner draw site near you. Specialty lab kits (for tests like DUTCH and gut microbiome panels) are handled by mail.

Clinical programs (integrative medicine with Deziree, NP) currently have a 1–2 month waitlist. Coaching programs with Karen have no waitlist — you can book your Strategy Call and begin right away. Standalone lab panels (Reclaim Your Mojo and Men's Blueprint) are available immediately with no waitlist.

BHRT uses hormones that are chemically identical to those naturally produced by your body — derived from plant sources and compounded to your exact prescription. Unlike synthetic hormones, bioidentical hormones are structurally identical to your body's own hormones, which allows them to bind to the same receptors and be metabolized more naturally. At Synergy, BHRT is always tailored to your lab values and symptoms — we don't use standard doses.

For most women, the current evidence — including guidance from the North American Menopause Society (NAMS), of which Deziree is a member — supports that the benefits of hormone therapy outweigh the risks when initiated in the appropriate candidate, at the right time, using the right type and delivery method. The concerns about hormones and cancer largely stem from the 2002 WHI study, which used synthetic progestins and oral conjugated equine estrogen in older women — a very different clinical picture from bioidentical hormones in perimenopausal women. We review your personal risk profile thoroughly before recommending any hormonal therapy.

We are trained in pellet therapy but do not currently offer it. Our preference is hormonal delivery methods where dosing can be adjusted in response to your labs and symptoms — pellets, once inserted, cannot be modified. We find that flexible dosing allows us to optimize your outcomes more precisely over the course of your program.

The DUTCH (Dried Urine Test for Comprehensive Hormones) measures not just hormone levels, but how your body metabolizes and processes each hormone throughout the day. A blood test gives you a snapshot of hormone levels at one point in time. The DUTCH gives you the full metabolic picture — estrogen metabolism pathways (which determine cancer risk), cortisol patterns across the full diurnal curve, progesterone breakdown, and DHEA metabolites. It's the difference between knowing your hormone levels and understanding your hormonal ecosystem.

Yes. Our Reclaim Your Mojo panel (for women, $299) and Men's Metabolic-Hormone Blueprint ($299) are available to anyone — no program commitment required. Both include provider review by Deziree and a 30-minute virtual interpretation visit with Karen. They're a great way to get clarity on your hormonal picture on your own timeline, and a natural starting point if you're not yet ready to commit to a full program.

Peptides are short chains of amino acids — the building blocks of proteins — that act as signaling molecules in the body, directing specific physiological processes like tissue repair, immune modulation, metabolic function, and cellular regeneration. At Synergy, peptide therapy is prescribed by a licensed provider following a comprehensive evaluation and sourced exclusively from accredited 503A patient-specific compounding pharmacies with documented sterility testing and quality standards. Like any prescription therapy, peptides are prescribed only to appropriate candidates and monitored clinically.

Peptide therapy begins with a Longevity Consultation — a comprehensive assessment including labs and health history. Protocols are individualized based on your clinical picture and goals. Peptides are not available off a menu — every prescription is specific to the individual patient following a thorough evaluation. Request a longevity consultation to begin the conversation.